| NPI | 1649638719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 272956) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: KY LPCCA00224155) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2021-11-10 |